Surgery improves defective oesophageal peristalsis in patients with gastro-oesophageal reflux.

Ortiz Escandell, A; Martinez de Haro, L F; Parrilla Paricio, P; Aguayo Albasini, J L; Garcia Marcilla, J A; Morales Cuenca, G · Br J Surg · 1991

case_series · Level IV

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Abstract

Postoperative manometry was carried out in 12 patients with gastro-oesophageal reflux associated with hypomotility of the oesophageal body. A Nissen fundoplication was carried out in all patients. After a median follow-up of 3.5 years, patients underwent clinical, endoscopic, radiological, manometric and pH-metric evaluation. Manometric results revealed an overall improvement in oesophageal motor function with an increase in the amplitude of deglutition waves and a decrease in the percentage of deglutitions without response. Six of the patients (one with complete motor failure) recovered normal peristaltic function. Non-specific oesophageal motor disorders may be secondary to gastro-oesophageal reflux and are reversible in nature.

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